Organization
MARY E TYRRELL
Active
Other names
Canfield Corner Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY E TYRRELL (SOLE PROPRIETOR)
(203) 263-2018
Entity
Organization
Contact information
Practice address
2 MAIN ST N, WOODBURY, CT 06798-2950
(203) 263-2018
(203) 263-7244
Mailing address
2 MAIN ST N, P.O. BOX 363, WOODBURY, CT 06798-2950
(203) 263-2018
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
51
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004069845
—
CT
Enumeration date
04/20/2006
Last updated
06/20/2008
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